Banner Health Physicians West Llc

NPI 1063778728 - Clinic/Center - 261QM1300X

NPI Details
NPI 1063778728
Enumeration Date 04/06/2012
Last Updated 11/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DENNIS E DENNIS
Position SR VP FINANCE
Phone (307) 532-2107
Fax
Practice Location
625 ALBANY AVE
TORRINGTON WY, 82240-1530, US
Phone (307) 532-2107
Fax
Business Location
1441 N 12TH ST
PHOENIX AZ, 85006-2837, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Banner Health Physicians West Llc NPI is 1063778728, taxonomy code is 261QM1300X Banner Health Physicians West Llc physically located at 625 Albany Ave, Torrington WY, 82240-1530. NPI Number 1033115704 has the healthcare provider type.

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1063778728 NPI number is provided on an as is basis without warranty of any kind. 1063778728 is maintained by the National Plan & Provider Enumeration System. The contents of Banner Health Physicians West Llc are for informational purposes only.